Influence of maternal characteristics and infant feeding patterns on infant growth from birth till 18 months: The MISC study

IF 2.7 3区医学 Q1 PEDIATRICS Pediatric Obesity Pub Date : 2024-02-21 DOI:10.1111/ijpo.13106

Hadia Radwan, Farah Naja, Nada Abbas, Joelle Abi Kharma, Reyad Shaker Obaid, Hessa Al Ghazal, Dana N. Abdelrahim, Roba Saqan, Mariam Alameddine, Marwa Al Hilali, Hayder Hasan, Mona Hashim

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Abstract

Background

The growth and development of infants during the first 1000 days of life are crucial for their health.

Objectives

This study aims to assess the impact of maternal characteristics and infant feeding patterns on infant growth from birth to 18 months.

Methods

Data were derived from the 2-year perspective Mother Infant Study Cohort (MISC) study which included six visits from the third trimester of pregnancy until 18 months postpartum. A convenient sample of 256 pregnant women aged 19–40 years was recruited from Sharjah, Dubai and Ajman in the United Arab Emirates.

Results

Amongst mothers' characteristics, Arab nationality, pre-pregnancy overweight/obesity, higher gestational weight gain and lower physical activity were found to increase the likelihood of infants being overweight at 6, 12 and 18 months. Exclusive breastfeeding was positively correlated with reduced odds of the infant being overweight at 18 months (aOR = 0.31, 95% CI: 0.12–0.81). Breastfeeding for up to 6 months and the introduction of solid foods after 6 months was associated with reduced odds of the infant being overweight at 12 months old (aOR = 4, 95% CI: 1.1–14.6; aOR = 2.97, 95% CI: 1.09–8.08, respectively).

Conclusion

The findings spotlight the influence of maternal characteristics and infant feeding on infant growth. This asserts the need for evidence-based programmes targeting mothers to promote optimal feeding practices and foster healthy child growth.

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母亲特征和婴儿喂养模式对出生至 18 个月婴儿生长的影响：MISC 研究。

背景：婴儿出生后 1000 天内的生长发育对其健康至关重要：本研究旨在评估母亲特征和婴儿喂养模式对出生至 18 个月婴儿生长的影响：数据来源于为期两年的母婴队列研究（MISC），其中包括从怀孕三个月到产后 18 个月的六次访视。研究从阿拉伯联合酋长国的沙迦、迪拜和阿治曼招募了 256 名年龄在 19-40 岁之间的孕妇：在母亲的特征中，阿拉伯国籍、孕前超重/肥胖、妊娠体重增加较多和运动量较少都会增加婴儿在 6、12 和 18 个月时超重的可能性。纯母乳喂养与婴儿在 18 个月时超重的几率降低呈正相关（aOR = 0.31，95% CI：0.12-0.81）。母乳喂养长达 6 个月和 6 个月后开始添加固体食物与婴儿 12 个月大时超重几率降低有关（aOR = 4，95% CI：1.1-14.6；aOR = 2.97，95% CI：1.09-8.08）：研究结果凸显了母亲特征和婴儿喂养对婴儿生长的影响。结论：研究结果凸显了母亲特征和婴儿喂养对婴儿生长的影响，这表明有必要针对母亲开展循证计划，推广最佳喂养方法，促进儿童健康成长。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Pediatric Obesity PEDIATRICS-

CiteScore

7.30

自引率

5.30%

发文量

117

审稿时长

6-12 weeks

期刊介绍： Pediatric Obesity is a peer-reviewed, monthly journal devoted to research into obesity during childhood and adolescence. The topic is currently at the centre of intense interest in the scientific community, and is of increasing concern to health policy-makers and the public at large. Pediatric Obesity has established itself as the leading journal for high quality papers in this field, including, but not limited to, the following: Genetic, molecular, biochemical and physiological aspects of obesity – basic, applied and clinical studies relating to mechanisms of the development of obesity throughout the life course and the consequent effects of obesity on health outcomes Metabolic consequences of child and adolescent obesity Epidemiological and population-based studies of child and adolescent overweight and obesity Measurement and diagnostic issues in assessing child and adolescent adiposity, physical activity and nutrition Clinical management of children and adolescents with obesity including studies of treatment and prevention Co-morbidities linked to child and adolescent obesity – mechanisms, assessment, and treatment Life-cycle factors eg familial, intrauterine and developmental aspects of child and adolescent obesity Nutrition security and the "double burden" of obesity and malnutrition Health promotion strategies around the issues of obesity, nutrition and physical activity in children and adolescents Community and public health measures to prevent overweight and obesity in children and adolescents.